Background
Pasteurella multocida
is a gram-negative pathogen commonly associated with soft tissue infections caused by bites or scratches from household animals. However,
P. multocida
infections have been reported without prior zoonotic exposure or associated soft tissue or skin infection in immunocompromised individuals.
Case
A 73-year-old patient with history significant for multiple malignancies including lung cancer presented to the emergency department with a fever, chills, and rigor. Patient denied any zoonotic exposure and did not have any soft tissue or skin structure infection. Laboratory testing and imaging revealed sepsis secondary to pneumonia and further lower respiratory cultures grew
Pasteurella
. Subsequent laboratory cultures indicated
P. multocida
bacteremia.
Conclusion
This case aims to advance awareness of the possibility of
P. multocida
infection in patients who do not have any known zoonotic exposure or identifiable skin or soft tissue infection. Nasopharyngeal colonization in immunocompromised individuals could be a source for invasive infection. Patients who have a pre-existing lung disease are susceptible for developing
Pasteurella
pneumonia, which can serve as the source of bacteremia.
Este artículo presenta un análisis de los componentes de la regulación y el desempeño del sector de transmisión de electricidad colombiano en 1994-2002 y el esquema de licitaciones para la expansión de éste. Se destacan las principales características de la organización de la industria eléctrica y el destacable comportamiento del sector que, a través del principal agente, Interconexión Eléctrica S.A. -ISA-, ha tenido participación importante en su planificación y expansión, coordina y administra esta industria. Por último, se hacen recomendaciones en cuanto a la necesidad de proveer incentivos adicionales a los agentes y mejorar la regulación de los ingresos de capital.Palabras clave: transmisión de electricidad, coordinación y administración mercado mayorista, regulación tarifaria, restricciones y pérdidas, competencias por la expansión.
The parties to a venture funding agreement are in a state of coopetition. The parties account for perceived risk in the entrepreneur-investor relationship through varying levels of control demanded from and trust afforded to the other party. The level of risk perceived by each party may differ along individual aspects of the prospective equity deal. The provisions of the term sheet delineate the subjective risk perceptions of each party to the transaction by allocating control or trusting a party with decision-making rights. When negotiating term sheet provisions, a party should seek to understand and recognize the risk perceived by the other party and attempt to afford the level of control or trust necessary to achieve a relational agreement that provides the greatest value for the parties collectively. An optimal allocation of control and trust adequately captures the perceived risk of each party, promotes cooperation between the parties, and ultimately facilitates the performance of the business venture. Understanding the subjective risk perceptions of each party to the investment transaction will facilitate the objective of negotiating a term sheet that maximizes the value created for all parties.
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